Rural Health
Resources by Topic: Healthcare facilities
Rural Hospital Performance in Guideline-Recommended Ischemic Stroke Thrombolysis, Secondary Prevention, and Outcomes
Examines the performance of rural versus urban stroke center and non-stroke center hospitals in delivering guideline-recommended ischemic stroke thrombolysis, providing secondary prevention, and producing favorable outcomes among patients treated for acute ischemic stroke. Utilizes 2017-2019 Get With the Guidelines-Stroke hospital data of 692,839 patients.
Author(s): Shumei Man, David Bruckman, Ken Uchino, et al.
Citation: Stroke, 55(10), 2472-2481
Date: 09/2024
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Examines the performance of rural versus urban stroke center and non-stroke center hospitals in delivering guideline-recommended ischemic stroke thrombolysis, providing secondary prevention, and producing favorable outcomes among patients treated for acute ischemic stroke. Utilizes 2017-2019 Get With the Guidelines-Stroke hospital data of 692,839 patients.
Author(s): Shumei Man, David Bruckman, Ken Uchino, et al.
Citation: Stroke, 55(10), 2472-2481
Date: 09/2024
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Costs of Treat-and-Release Emergency Department Visits in the United States, 2021
Explores the cost of treat-and-release emergency department (ED) visits in the United States in 2021. Describes findings from an analysis of the 2021 Healthcare Cost and Utilization Project (HCUP) Nationwide Emergency Department Sample. Presents data on the aggregate costs, average cost, and number of ED visits by patient and hospital characteristics, including patient age; sex; primary expected payer; community-level income; and metropolitan, micropolitan, or rural status.
Date: 09/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Explores the cost of treat-and-release emergency department (ED) visits in the United States in 2021. Describes findings from an analysis of the 2021 Healthcare Cost and Utilization Project (HCUP) Nationwide Emergency Department Sample. Presents data on the aggregate costs, average cost, and number of ED visits by patient and hospital characteristics, including patient age; sex; primary expected payer; community-level income; and metropolitan, micropolitan, or rural status.
Date: 09/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Health Care Worker Recruitment and Retention in New York State: What Are the Issues?
Report summarizing health workforce recruitment and retention difficulties experienced by providers in New York State, and reasons for these difficulties. Examines challenges in hospitals, nursing homes, Federally Qualified Health Centers, and other facilities, especially in rural areas of New York.
Additional links: Infographic
Author(s): Robert Martiniano, Sage Shirey
Date: 09/2024
Sponsoring organization: Center for Health Workforce Studies
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Report summarizing health workforce recruitment and retention difficulties experienced by providers in New York State, and reasons for these difficulties. Examines challenges in hospitals, nursing homes, Federally Qualified Health Centers, and other facilities, especially in rural areas of New York.
Additional links: Infographic
Author(s): Robert Martiniano, Sage Shirey
Date: 09/2024
Sponsoring organization: Center for Health Workforce Studies
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Age-Friendly Health Systems Integration into Rural Primary Care Clinics: A Journey of One Geriatric Workforce Enhancement Program
Examines implementation of the Age-Friendly Health Systems (AFHS) 4Ms Framework in rural Arkansas primary care clinics. Details program aspects related to workforce training, workplace culture, and resource provision and discusses evidence-based approaches to implementation. Provides data on the AFHS 4Ms Framework's impact on patient engagement and healthcare quality for older adults in rural settings.
Author(s): Leah Tobey-Moore, Katherine Scalzo, Stacie Massey, Robin McAtee
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Date: 09/2024
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Examines implementation of the Age-Friendly Health Systems (AFHS) 4Ms Framework in rural Arkansas primary care clinics. Details program aspects related to workforce training, workplace culture, and resource provision and discusses evidence-based approaches to implementation. Provides data on the AFHS 4Ms Framework's impact on patient engagement and healthcare quality for older adults in rural settings.
Author(s): Leah Tobey-Moore, Katherine Scalzo, Stacie Massey, Robin McAtee
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Date: 09/2024
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Who Owns Rural Hospitals? A Comparison of Findings across Four National Datasets
Explores rural hospital ownership characteristics as reported across four national datasets: the Centers for Medicare & Medicaid Services (CMS) Healthcare Cost Reporting Information System (HCRIS); the CMS Provider Enrollment, Chain, and Ownership System (PECOS); the Private Equity Stakeholder Project (PESP); and the Agency for Healthcare Research and Quality (AHRQ). Compares rural hospitals with consistent ownership characteristics across datasets with those with inconsistent reports of ownership by Census division, Medicare payment classification, long-term care service provision, Rural Health Clinic (RHC) service provision, and more.
Author(s): Anastasia Dai, Tyler Malone
Date: 09/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Explores rural hospital ownership characteristics as reported across four national datasets: the Centers for Medicare & Medicaid Services (CMS) Healthcare Cost Reporting Information System (HCRIS); the CMS Provider Enrollment, Chain, and Ownership System (PECOS); the Private Equity Stakeholder Project (PESP); and the Agency for Healthcare Research and Quality (AHRQ). Compares rural hospitals with consistent ownership characteristics across datasets with those with inconsistent reports of ownership by Census division, Medicare payment classification, long-term care service provision, Rural Health Clinic (RHC) service provision, and more.
Author(s): Anastasia Dai, Tyler Malone
Date: 09/2024
Sponsoring organization: North Carolina Rural Health Research Program
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"Saving People's Lives": Access to Mental Health and Addiction Services in Rural Communities
Podcast episode discussing challenges of accessing mental health and addiction services in rural areas. Highlights strategies implemented by New Mexico's Presbyterian Española Hospital to address these challenges and increase access to treatment.
Date: 09/2024
Sponsoring organization: American Hospital Association
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Podcast episode discussing challenges of accessing mental health and addiction services in rural areas. Highlights strategies implemented by New Mexico's Presbyterian Española Hospital to address these challenges and increase access to treatment.
Date: 09/2024
Sponsoring organization: American Hospital Association
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Obstetric Outcomes among Rural Parturients across US Urban and Rural Hospitals
Examines severe maternal morbidity and mortality (SMM) among rural parturients giving birth at rural versus urban hospitals, utilizing 2015-2022 Vizient Clinical Data Base (CDB) data of 214,296 patients. Includes data and discussion of the relationship between SMM and receipt of blood transfusion, race and ethnicity, type of hospital, and other clinical and demographic factors.
Author(s): Courtney L Strickland, Dmitry Tumin, Alyssa Harris, Hannah Murphy, James L Whiteside
Citation: Rural and Remote Health, 24(3), 8836
Date: 09/2024
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Examines severe maternal morbidity and mortality (SMM) among rural parturients giving birth at rural versus urban hospitals, utilizing 2015-2022 Vizient Clinical Data Base (CDB) data of 214,296 patients. Includes data and discussion of the relationship between SMM and receipt of blood transfusion, race and ethnicity, type of hospital, and other clinical and demographic factors.
Author(s): Courtney L Strickland, Dmitry Tumin, Alyssa Harris, Hannah Murphy, James L Whiteside
Citation: Rural and Remote Health, 24(3), 8836
Date: 09/2024
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Gallup Indian Medical Center—an IHS-Operated Health Facility—Did Not Timely Conduct Required Background Checks of Staff and Supervise Certain Staff
Presents findings of an audit to determine whether Gallup Indian Medical Center, an Indian Health Service (IHS) operated facility, met federal requirements for conducting background investigations and supervision of staff in contact with Indian children. Offers recommendations to the IHS regarding completing background investigations, documenting provision staff supervision, and updating standard operating procedures for background investigations.
Additional links: Report in Brief
Date: 09/2024
Sponsoring organization: Office of Inspector General (HHS)
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Presents findings of an audit to determine whether Gallup Indian Medical Center, an Indian Health Service (IHS) operated facility, met federal requirements for conducting background investigations and supervision of staff in contact with Indian children. Offers recommendations to the IHS regarding completing background investigations, documenting provision staff supervision, and updating standard operating procedures for background investigations.
Additional links: Report in Brief
Date: 09/2024
Sponsoring organization: Office of Inspector General (HHS)
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Pediatric and Pregnancy-related Visits at Rural Health Clinics in 2018 among Medicaid/CHIP Enrollees in 20 States
Research and policy brief on pediatric and pregnancy-related visits to Rural Health Clinics (RHCs) among Medicaid/CHIP enrollees in 20 states during the year 2018. Provides data, including regional and state comparisons, on rates at which pediatric and pregnancy-related visits took place, medical conditions observed, and services provided. Discusses the role of RHCs in overcoming geographic access barriers.
Author(s): Katherine A. Aherns, Zachariah T. Croll, Yvonne Jonk, John Gale, Heidi O'Connor
Date: 09/2024
Sponsoring organization: Maine Rural Health Research Center
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Research and policy brief on pediatric and pregnancy-related visits to Rural Health Clinics (RHCs) among Medicaid/CHIP enrollees in 20 states during the year 2018. Provides data, including regional and state comparisons, on rates at which pediatric and pregnancy-related visits took place, medical conditions observed, and services provided. Discusses the role of RHCs in overcoming geographic access barriers.
Author(s): Katherine A. Aherns, Zachariah T. Croll, Yvonne Jonk, John Gale, Heidi O'Connor
Date: 09/2024
Sponsoring organization: Maine Rural Health Research Center
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Rural-Urban Disparities in Hospital Services and Outcomes for Children With Medical Complexity
Examines differences in availability of hospital pediatric services for rural and urban children with medical complexity requiring hospitalization, and analyzes whether hospitals' availability of pediatric services influences rural-urban health outcome disparities. Utilizes 2012-2017 claims data of 36,943 children with medical complexity. Includes data on hospitalization patterns, service availability, quality measures, and mortality.
Author(s): JoAnna K. Leyenaar, Seneca D. Freyleue, Mary Arakelyan, et al.
Citation: JAMA Network Open, 7(9), e2435187
Date: 09/2024
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Examines differences in availability of hospital pediatric services for rural and urban children with medical complexity requiring hospitalization, and analyzes whether hospitals' availability of pediatric services influences rural-urban health outcome disparities. Utilizes 2012-2017 claims data of 36,943 children with medical complexity. Includes data on hospitalization patterns, service availability, quality measures, and mortality.
Author(s): JoAnna K. Leyenaar, Seneca D. Freyleue, Mary Arakelyan, et al.
Citation: JAMA Network Open, 7(9), e2435187
Date: 09/2024
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